The problem of quality of life in medicine
There are many problems with the current methods used to measure quality of life. Many questionnaires have been developed but they were designed by physicians and social scientists. Consequently, they may not focus on patients' concerns. Physicians sometimes believe that all patients should aspire to the same quality of life. The Quality-Adjusted Life Year (QALY) was devised to ensure that all medical treatments could be assessed by the same yardstick. However, quality of life is a very subjective measurement. One positive aspect of quality of life measures is that they take patients' concerns into account.
Publication Name: JAMA, The Journal of the American Medical Association
Computers and the quality of care - a clinician's perspective
A computer-assisted program to manage infections in intensive care patients at LDS Hospital in Salt Lake City, Utah illustrates the tremendous clinical benefit of such tools. LDS Hospital has a long history of developing computerized systems by clinical staff for use by engaged and cooperative physicians. The system provides patient-specific recommendations based on local treatment protocols and established authorities in an interactive way. Most hospitals have the computers to install such a system, but successful implementation requires commitment and cooperation throughout the facility.
Publication Name: The New England Journal of Medicine
Quality care in the South Pacific
The government of the Cook Islands has created a program of health care services for remote communities. With support from the World Health Organization, nurse practitioners reach out to almost half of the 19,000 residents who are spread out over an 800,000-square mile area of 11 islands.
Publication Name: World Health
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